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老年猫退行性关节病的影像学证据:100例(1994 - 1997年)

Radiographic evidence of degenerative joint disease in geriatric cats: 100 cases (1994-1997).

作者信息

Hardie Elizabeth M, Roe Simon C, Martin Fonda R

机构信息

Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, 27606, USA.

出版信息

J Am Vet Med Assoc. 2002 Mar 1;220(5):628-32. doi: 10.2460/javma.2002.220.628.

Abstract

OBJECTIVE

To determine prevalence of radiographic evidence of degenerative joint disease (DJD) in geriatric cats.

DESIGN

Retrospective study.

POPULATION

100 cats > 12 years of age.

PROCEDURE

One investigator reviewed radiographs and for each articulation (or group of articulations) that was visible assigned a grade of severity (0, 1, 2, 3) for DJD. Another investigator reviewed medical records and recorded signalment, environment, previous disease, diseases evident at time of radiography, FeLV vaccination and infection status, feline immunodeficiency virus serologic status, serum creatinine concentration, serum globulin concentration, and any other important findings. Associations between DJD of grade 2 or 3 and variables recorded from the medical record were determined.

RESULTS

Radiographic evidence of DJD was evident in 90% of cats. Neurologic disease was associated with lesions in the lumbosacral portion of the vertebral column. Severe lesions were found in 17% of the elbow joints, but an underlying cause was not determined.

CONCLUSIONS AND CLINICAL RELEVANCE

Degenerative joint disease was detected radiographically in most geriatric cats and may be an overlooked cause of clinical disease. Clinicians should be alert to the possibility that DJD is associated with neurologic signs.

摘要

目的

确定老年猫退行性关节病(DJD)的影像学证据患病率。

设计

回顾性研究。

研究对象

100只12岁以上的猫。

方法

一名研究人员查看X光片,对每个可见关节(或关节组)的DJD严重程度进行分级(0、1、2、3级)。另一名研究人员查看病历并记录动物特征、生活环境、既往疾病、X光检查时发现的疾病、猫白血病疫苗接种和感染状况、猫免疫缺陷病毒血清学状态、血清肌酐浓度、血清球蛋白浓度以及任何其他重要发现。确定2级或3级DJD与病历记录变量之间的关联。

结果

90%的猫有DJD的影像学证据。神经系统疾病与脊柱腰骶部病变有关。17%的肘关节发现严重病变,但未确定潜在病因。

结论及临床意义

大多数老年猫通过X光检查发现有退行性关节病,这可能是临床疾病被忽视的一个原因。临床医生应警惕DJD与神经症状相关的可能性。

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